Congestive Heart Failure
Congestive Heart Failure
Congestive Heart Failure
HEART FAILURE
DEFINITION
• Definition: Failure of cardiac output to meet
metabolic needs of the body
• Afterload – resistance (pressure) against which the heart must pump blood, systemic vascular resistance
• Afterload is squeeze.
CLINICAL ASSESSMENT OF SEVERITY IN
CHILDREN
MODIFIED ROSS HEART FAILURE
CLASSIFICATION IN CHILDREN
CLASS INFANT CHILD
Asymptotic Asymptotic
I
No limitations No limitations.
Mild Tachypnea or diaphoresis with
II feeding Dyspnoea on exertion
No growth failure
1) Acute HF
2) Chronic HF
1) Low-output HF: due to volume overload, pressure overload & contractility problems.
• Older children:
• Exertional dyspnea
• Fatigue
• Edema
• Palpitation
• Pain abdomen
TIC
EVALUAT
• X-ray Chest (cardiomegaly)
ION
• ECG – (ventricle hypertrophy)
• Echocardiography –
Low Ejection Fraction (N = 55-65%)
• Thrombo- • Electrolyte
embolism Imbalance
• Failure to thrive –
• Repeated chest
low weight and
infections
height
• Pulmonary edema
MANAGEMENT
• Diuretics eg. Furosemide
• Digoxin